Organization
WATERBURY EXTENDED CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMBLEY (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
(860) 945-7034
Mailing address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
(860) 945-7034
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1082-C
CT
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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